| Name | WALLACE INSURANCE AGENCY LLC C/O TIMOTHY R. WALLACE, MEMBER |
|---|---|
| Address | 3288 E. RUSSELL RD. |
| City | LAS VEGAS |
| State | NV |
| Zip | 89120 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | WALLACE INSURANCE AGENCY LLC |
|---|---|
| Entity Number | E0169782009-7 |
| NV Business ID | NV20091044483 |